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BLUEMOON HOME HEALTHCARE LLC
NPI 1104585058
Home Health in Columbus, OH

Active since December 08, 2021
5705 TAMARACK BLVD APT F, COLUMBUS, OH 43229(614) 721-0714 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bluemoon Home Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEMOON HOME HEALTHCARE LLC (NPI 1104585058) is a healthcare organization registered as a home health in Columbus, Ohio and active in the NPI registry since December 2021. The organization lists Mohamed Isse Mohamud, Owner, as its authorized official.

NPPES Registry Identity

NPI1104585058
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBLUEMOON HOME HEALTHCARE LLC
Location Address5705 TAMARACK BLVD APT FColumbus, OH 43229-3776
Mailing Address5705 Tamarack Blvd Apt FColumbus, OH 43229-3776 · (614) 721-0714
Phone(614) 721-0714
Organization SubpartNo
Authorized OfficialMohamed Isse MohamudOwner · (619) 321-7065
Enumeration DateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1104585058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5705 TAMARACK BLVD APT F, Columbus, OH 43229
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluemoon Home Healthcare LLC's NPI number?

The NPI number for Bluemoon Home Healthcare LLC is 1104585058. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Bluemoon Home Healthcare LLC located?

Bluemoon Home Healthcare LLC is located at 5705 Tamarack Blvd Apt F, Columbus, OH 43229. The listed phone number is (614) 721-0714.

What is Bluemoon Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Bluemoon Home Healthcare LLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.